Impact of patient training patterns on peritonitis rates in a large national cohort study

Background. Ideal training methods that could ensure best peritoneal dialysis (PD) outcome have not been defined in previous reports. The aim of the present study was to evaluate the impact of training characteristics on peritonitis rates in a large Brazilian cohort.Methods. Incident patients with valid data on training recruited in the Brazilian Peritoneal Dialysis Multicenter Study (BRAZPD II) from January 2008 to January 2011 were included. Peritonitis was diagnosed according to International Society for Peritoneal Dialysis guidelines; incidence rate of peritonitis (episodes/patient-months) and time to the first peritonitis were used as end points.Results. Two thousand two hundred and forty-three adult patients were included in the analysis: 59 +/- 16 years old, 51.8% female, 64.7% with <= 4 years of education. The median training time was 15 h (IQI 10-20 h). Patients were followed for a median of 11.2 months (range 3-36.5). The overall peritonitis rate was 0.29 per year at risk (1 episode/41 patient-months). The mean number of hours of training per day was 1.8 +/- 2.4. Less than 1 h of training/day was associated with higher incidence rate when compared with the intervals of 1-2 h/day (P = 0.03) and > 2 h/day (P = 0.02). Patients who received a cumulative training of > 15 h had significantly lower incidence of peritonitis compared with < 15 h (0.26 per year at risk versus 0.32 per year at risk, P = 0.01). The presence of a caregiver and the number of people trained were not significantly associated with peritonitis incidence rate. Training in the immediate 10 days after implantation of the catheter was associated with the highest peritonitis rate (0.32 per year), compared with training prior to catheter implantation (0.28 per year) or > 10 days after implantation (0.23 per year). More experienced centers had a lower risk for the first peritonitis (P = 0.003).Conclusions. This is the first study to analyze the association between training characteristics and outcomes in a large cohort of PD patients. Low training time (particularly < 15 h), smaller center size and the timing of training in relation to catheter implantation were associated with a higher incidence of peritonitis. These results support the recommendation of a minimum amount of training hours to reduce peritonitis incidence regardless of the number of hours trained per day.

Performance of the CMS missing transverse momentum reconstruction in pp data at root s=8 TeV

Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)

Chromosome mapping of retrotransposable elements Rex1 and Rex3 in Leporinus Spix, 1829 species (Characiformes: Anostomidae) and its relationships among heterochromatic segments and W sex chromosome

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Reproductive efficiency of Nellore cows nursing Nellore or crossbred Simmental x Nellore calves

The objective of this study was to analyze the influence of genetic group (GG) of the calf during gestation, mobilization of body reserves and period of postpartum anestrus in Nellore cows. Thirty-seven primiparous and multiparous cows were used: 24 gave birth to Nellore (NEL), and 13 gave birth to 1/2 Simmental x 1/2 Nellore (SIM) calves. According to the date of calving, cows were divided into three blocks, with intervals of 20 days between blocks. The body condition (BC) of the cows was estimated subjectively on a scale from 0 to 5 points, with intermediate grading of 0.5 points. We measured the thickness of subcutaneous fat (SF) between the 12th and 13th ribs and rump by ultrasound. Blood samples from each cow were collected weekly from the third week after birth until weaning, to analyze the level of progesterone; in the samples collected until 16 weeks postpartum, we analyzed the concentration of nonesterified fatty acids(NEFA). The gestation period of mothers of NEL calves was eight days longer, on average. The variables relating to the mobilization of body reserves (NEFA, BC and SF) were not influenced by calf GG, with the only significant effects being the number of days postpartum, witha peak in the concentration of NEFA between the sixth and eighth weeks and linear decrease in BC and NF. Mothers of NEL calves remained in anestrus for 4.6 weeks longer than the mothers of crossbred calves.

Spectrophotometric evaluation of color changes of esthetic brackets stored in potentially staining solutions

The purpose of this study was to evaluate, in vitro, the chromatic behavior of esthetic brackets stored in potentially staining solutions. The sample were divided into four groups according to the commercial brand and stored in four different solutions (distilled water, cola soda, coffee and mouthrinse) at 37°C for 14 days. Possible color changes measured according to the CIE L*a*b* color system with a spectrophotometer at five intervals of time after storage. The statistical analysis was carried out using ANOVA to 1%, Tukey's tests and decomposition of interactions with a significance level of 5%.The color changes were dependent on the solution, storage time and the brand of brackets. The largest color changes were observed in the G3, followed by G2, G1/G4. The esthetic brackets do not present satisfactory and stable chromatic behavior.

High-intensity interval training and hypertension: Maximizing the benefits of exercise?

Essential arterial hypertension is the most common risk factor for cardiovascular morbidity and mortality. Regular exercise is a well-established intervention for the prevention and treatment of hypertension. Continuous moderate-intensity exercise training (CMT) that can be sustained for 30 min or more has been traditionally recommended for hypertension prevention and treatment. On the other hand, several studies have shown that high-intensity interval training (HIT), which consists of several bouts of high-intensity exercise (~85% to 95% of HRMAX and/or VO2MAX lasting 1 to 4 min interspersed with intervals of rest or active recovery, is superior to CMT for improving cardiorespiratory fitness, endothelial function and its markers, insulin sensitivity, markers of sympathetic activity and arterial stiffness in hypertensive and normotensive at high familial risk for hypertension subjects. This compelling evidence suggesting larger beneficial effects of HIT for several factors involved in the pathophysiology of hypertension raises the hypothesis that HIT may be more effective for preventing and controlling hypertension.

Intensity and interval of recovery in strength exercise influences performance: salivary lactate and alpha amylase as biochemical markers: a pilot study

Purpose The aim of the present study was to evaluate the effects of intensity and interval of recovery on performance in the bench press exercise, and the response of salivary lactate and alpha amylase levels. Methods Ten sportsman (aged 29 ± 4 years; body mass index 26 ± 2 kg/cm2 ) were divided in two groups: G70 (performing a bench press exercise at 70 % one repetition maximum—1RM), and G90 (performing a bench press exercise at 90 %—1RM). All groups were engaged in three intervals of recovery (30, 60 and 90 s). The maximum number of repetitions (MNR) and total weight lifted were computed, and saliva samples were collected 15 min before and after different intervals of recovery. For the comparison of the performance and biochemistry parameters, ANOVA tests for repeated measurements were conducted, with a significance level set at 5 %. Results In G70, the 30 s MNR was lower than the 60 and 90 s intervals of recovery (p\0.05) and the MNR with the 60 s interval of recovery was lower than the 90 s interval of recovery (p\0.041). Similarly, in G90 with the 30 s of interval of recovery, the sets were lower than observed with the 60 and 90 s (p\0.05), and MNR with the 60 s interval of recovery was lower than the 90 s interval of recovery (p\0.05). The salivary lactate showed an increase after exercise (p\0.05) when compared with the rest period for all groups, and no effects were observed for salivary alpha amylase. Conclusions Based on this result, the sets and reps can be modified to change the recovery time. This effect is very useful to improve the performance in relationship to different fitness levels.

Uma proposta de demarcação da análise descritiva do comportamento ordinal no contexto da literatura operante

A portion of operant literature supports significant production of knowledge about problem solving, observation response and contingency relations between responses with different probabilities of occurrence (Premack Principle). This study investigated possible convergences between a descriptive analysis of ordinal behavior and such portion of the operant literature. Conceptual and methodological analysis of publications have highlighted the relevance of the sequence of events functionally related to the characterization of the production of knowledge about problem solving, observation response and the Premack Principle enabling approaches between programs of research on complex behavioral repertoires as well as expansions in research strategies concerning ordinal responding.

Sterilization of immature blowflies (Calliphoridae) for use in larval therapy

Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)

Periods of weed interference in chicory cultivars development in indirect sowing system

Chicory (Cichorium intybus L.) is an important broadleaves vegetable, consumed in salads and recognized by nutritional, pharmacological properties and its low calorie value. With the objective of assessing weeds interference periods over chicory crop in indirect sowing, two experiments were carried out at Garça County, São Paulo State, by using “Folhas Amarelas - Radiche” and “Folha Larga” cultivars and spacing of 0.25×0.25 m. Treatments consisted of checks with and without weeds and infestation control periods, so that crop was maintained in presence or absence of coexistence with weeds until 7, 14, 21, 28 and 35 days after seedlings transplant (DAST). Results demonstrated that “Folhas amarelas - Radiche” and “Folha Larga” chicory cultivars transplanted on winter, allowed occurrence of initial period of cohabitation with weeds (6 and 5 IPCW) greater than final period (14 and 9 FPCW), conferring, respectively, the establishment of critical periods for weed control (CPWC) in intervals of 6th to 14th and 5th to 9th days after crop transplant. Medium reduction of yield in function of weeds interference during the whole crop cycle was about 52.0% and 54.4%, respectively, for “Folhas amarelas - Radiche” and “Folha Larga” cultivars. It is important to mention that these results indicated the real need for conducting early weed control in chicory crop cultivation, even when carried out in indirect sowing system, as well as it characterizes the importance of a greater number of regional information to successfully consolidate management alternatives, less costly and more efficient in order to guarantee superior yields.